| Organization Name: | HEALTHIER U 4 EVER COMPLETE WELLNESS CENTER, LLC |
| NPI Number: | 1073872065 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAPHNE M PATTERSON (OWNER) |
| Mailing Address: | 1585 Tuftstown Ct Snellville |
| State: | GA US |
| Postal Code: | 300782583 |
| Phone Number: | 4782519538 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2012 |
| NPI Last Update Date: | 07/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN165491AP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |